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March 6, 2019
PEER SUPPORT
for the MMC Medical Staff
Physician leader: Christine Hein, MD
Confidential • One-on-One • Peer Support
FEATURED ARTICLES
  • Vote Expands Med Staff Categories
  • Med Staff Dinner, March 27
  • Enhanced Recovery After Surgery

Scroll down to read these and other new articles and more.
Letter from Joel and Chris
On March 27, the spring Medical Staff dinner will be held in the Dana Center Lobby at 5:30 p.m. This proves to be a celebratory meeting on many levels. We will be awarding the Bud Higgins teaching award as well as the MITE awards. These awards recognize excellence in our colleauges’ commitment to education, as well as educational leadership, mentorship, interprofessional teaching excellence and educational innovation.


" The way I see it, if you want the rainbow,
you gotta put up with the rain. " - Dolly Parton

Submit a quote to thescope@mmc.org .

Clinical Topics
Med Staff Dinner, March 27, 5:30 p.m., Dana Auditorium
By Chris Cary, MD, Medical Staff President
Please join us for the spring Med Staff dinner. Join your colleagues for CMS survey results, awards, recognition and food.


Pictured: Jeff Sanders, MMC President, and Chris Cary, Medical Staff President, sign the Medical Staff Compact at the fall 2018 dinner.
Vote Expands Med Staff Categories
By Chris Cary, MD, Medical Staff President
The first proposed major change in the Medical Staff bylaws has been voted upon. By a landslide majority, the membership categories for the Medical Staff have been expanded to include Active-APP and Active-Affiliate to the existing Active-Physician category. Courtesy, Retired, and Telemedicine categories have been expanded to include Physicians, APPs and Affiliates as well. This bylaws change more closely reflects the current state and allows a forum for these providers to advocate for their patients. Thank you to all who worked on and voted on this change. The vote for the remainder of the bylaws changes will be forthcoming later in the spring.

Dr. Joel Botler Named President, Maine Medical Partners
By Jeff Sanders, President, Maine Medical Center
I want to take this opportunity to share with you that Joel Botler, MD, who has been serving since 2017 as interim president of Maine Medical Partners, has officially been named permanent president by the MMP Board. The role is in addition to his position as Chief Medical Officer, Maine Medical Center. Joel has done an outstanding job in this combined role, and he has made significant progress in bringing MMC’s medical and clinical structures and teams closer with our MMP employed medical group.

Enhanced Recovery After Surgery at MMC
By Carol Dean, MD, Maine Medical Center Department of Anesthesiology and Perioperative Medicine, Spectrum Healthcare Partners Anesthesiology Division, Clinical Assistant Professor of Anesthesiology and Perioperative Medicine, Tufts University School of Medicine, and Olivia Morejon, MS, Sr. Project Manager, Center for Performance Improvement
Among the most compelling challenges in health care today are high cost, opioid overuse and clinical complications which lead to patient dissatisfaction, morbidity, readmission and additional cost. In 2001, a group of European surgeons founded an Enhanced Recovery After Surgery (ERAS) study group aimed to improve outcomes by developing optimal multidisciplinary perioperative practices based on scientific understanding of the physiologic perioperative stress response.

MaineHealth ACEs Aims to Prevent, Identify and Treat Adverse Childhood Experiences With Collaborative Health Care Model
By Steve DiGiovanni, MD, Medical Director MMC Clinics, Medical Director MH ACEs Team
Adverse Childhood Experiences (ACEs) are a pervasive health epidemic affecting children throughout Maine. In 2017, 23 percent of Maine High School Students reported three or more ACEs, including household dysfunction (parental substance abuse, witnessing domestic violence, loss of a parent, parental mental illness), abuse (physical, sexual and mental), neglect and neighborhood violence.1 Children exposed to multiple ACEs have significantly higher rates of developmental delays, anxiety, depression, behavioral concerns, academic problems and sleep problems.

Second Innovation Cohort Closes with Four Projects, Two Patents Filed, First Companies Planned
By Jennifer Monti, MD, Program Director, Innovation Cohort
The Innovation Cohort at Maine Medical Center was founded as a home for people at MaineHealth to identify problems they see in their everyday work, to invent new products and services and to test new ideas, run experiments and access resources required to drive the growth of scalable innovations.
Currently funded by the Maine Technology Institute and the Center for Performance Improvement at MaineHealth, the second cohort ran in fall 2018. The application was comprised of five simple questions limited to 250-word answers each.

Next Day Knee Program Enables Nearly All Partial and Majority of Total Knee Replacement Patients to Go Home the Day After Surgery
By Adam J. Rana, MD, Director, Joint Replacement Center, Maine Medical Center
Knee replacement surgery has traditionally been associated with hospital stays averaging three to four days. In addition, a subsequent stay in a rehabilitation facility for additional recovery was not uncommon. The staff at MMC Joint Replacement Center has worked to develop a Next Day Knee Replacement Program, with comfortable discharge home following surgery.

SeHR Shorts
By Donna Morong, RN, Manager of Clinical Informatics – Medical Affairs
In this issue:
  • Same Day Surgery After Visit Discharge Instructions and Medications
  • Are your SeHR/EPIC skills as sharp as they could be?
  • Are you interested in improving your Dragon DMO skills?
Care Team Well Being
Brown Bag Series for Med Staff, Residents and Fellows
Publications, Achievements and Recognition
Dr. Soultanakis Reaches Surgical Milestone

Emmanuel Soultanakis, MD, recently performed his one-thousandth robotic hysterectomy. The OR team at Bramhall celebrated the achievement with balloons and a uterus-shaped cake.

Pictured, l- r: Megan Bartholomew, CST, Emmanuel Soultanakis, MD, Devyn Poirier, CST, Amy Sawyer, RN, Lindsay Oelofse, RN
Events and Important Dates
Match Day Is Friday, March 15

Keep an eye out for the match list, and be sure to congratulate our new residents and the TUSM-MMC Maine Track class of 2019.

Pictured at right: The Maine Track Class of 2019, taken in 2015.
Medical Staff Dinners
We Want Your Article Submissions
Your participation is essential to making The Scope a dynamic and sustainable publication. Please submit articles of 250-300 words to thescope@mmc.org . Include practitioner’s byline with title, credentials and appropriate contact for further information. We publish on the first Wednesday of each month, all submissions are due one week prior to publication. Learn more.

Medical Staff Value, Mission and Vision Statements
Value Statement
The Medical Staff of Maine Medical Center values both individuality and collaboration. We will continually pursue higher value health care. We embrace a culture of curiosity and life-long learning. We are partners with Maine Medical Center, and we mirror its values of compassion, service, integrity, respect, and stewardship.
 
Mission Statement
The Mission of the Medical Staff of Maine Medical Center is to provide affordable, high-quality health care to our community. We teach future health care providers and develop innovative ways to improve the health of our community. In partnership with the Medical Center, we proudly accept our responsibility as one of Maine’s leaders in patient care, education, and research.
 
Vision Statement
The Medical Staff of Maine Medical Center will be the driving force within Maine Medical Center leading the way to making Maine the healthiest state in the nation.